IHEEM WALES REGIONAL CONFERENCE 2023
The 100% single-bedded Ysbyty Aneurin Bevan in Ebbw Vale opened in October 2010.
Identifying the major risks to service continuity “Of course,” Judith Paget continued, “a key focus is identifying the major risks to service continuity, patient and staff safety, and our statutory compliance.” Capital funding needed to continue to be targeted at those areas seen as posing the greatest such risks, but ultimately, she emphasised, it was each Health Board / Trust’s duty to ensure it had a safe estate from which to deliver its services. She said: “Due to the age of the estate, it’s important that we continue to assess which of our buildings are key to service delivery, and which might be surplus to requirements. We need a really clear strategic plan.”
Acute sites ‘incredibly crowded’ The NHS Wales CEO told delegates identifying ‘that surplus estate’ was key, ‘because some of our acute sites are
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Linked to care closer to home, one of the positives to emerge from the pandemic is the opportunity to do more remotely – using technology not only to link GPs to hospital consultants, but also hospital consultants and GPs to patients in their own homes. Each NHS organisation will need to have a clear digital strategy
Judith Paget, NHS Wales
incredibly crowded’. She said: “We need to free up space for them, but also to make surplus land available to wider public sector organisations, or make space for renewables and biodiversity schemes.” Judith Paget believed the Welsh Government’s declaration of a climate emergency would continue to influence how the country’s NHS used and developed its estate. She said: “Our NHS Wales Decarbonisation Strategic Delivery Plan (2021-2030) sets out clear intent about what can and should be achieved, and how the NHS will contribute to Welsh Ministers’ ambition of the public sector being Net Zero by 2030 – a hugely ambitious target.” Meanwhile, the NHS Net Zero Building Standard would come into force for healthcare buildings in England and Wales from October, and the NHS in Wales was ‘still working through the implications’.
IHEEM CEO, Pete Sellars, welcomed guests at the start of the first morning of the Wales Regional Conference in Cardiff in May.
Transition to low-carbon heating Returning to the estate’s age and condition, Judith Paget said: “The target to transition to low-carbon heating in existing buildings will be challenging; fabric and condition need to be of a sufficient standard to allow heat pumps and other low-carbon heating solutions to operate efficiently.” In older buildings, the technicalities would be ‘far more complex’. She said: “I would encourage all to take a broad look at the decarbonisation
opportunities for NHS Wales; our target is really challenging, but Welsh Ministers are committed to all public services meeting it. There are, of course, things we can do about renewable energy – working with others on district heating networks, for example, and considering the potential for using hydrogen in the future.”
Need for ambitious thinking The healthcare EFM sector needed to be ‘amibitious in its thinking’, Judith Paget believed. She said: “I would like to see more schemes like the solar farm linked to Swansea’s Morriston Hospital – which is already realising significant decarbonisation benefits, and reducing electricity spend.” Moving to how Wales’s future healthcare estate ‘should look’, she emphasised that the Welsh Government’s strategy was ‘all about treating more patients at home or closer to home’, and – ‘where appropriate’ – fewer in acute hospital settings. She said: “We need to develop new primary care and community facilities, and think how we can best support people in their own home.” Regional Partnership Boards had a key role in bringing together partners to facilitate cross-sector planning across health and social care, and making sure service planning and those models of care were clearly designed. She said: “We can then design our buildings appropriately.”
August 2023 Health Estate Journal 35
Aneurin Bevan University Health Board
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